Montgomery L Roberts, D.O.

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

37355 Issued in KS

Practice address

7450 Kessler St Ste 204
Shawnee Mission, KS 66204-2553

Phone

(913) 632-9770

Fax

(913) 632-9799

NPI assigned

Mar 29, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in KS

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine

Education

Oklahoma State University College of Osteopathic Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shawnee Mission Medical Center IncGroup PAC ID 9537119037, 282 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Shawnee Mission Hospital, Shawnee Mission, KS, CCN 170104
• Adventhealth South Overland Park, Inc Hospital, Overland Park, KS, CCN 170208
• Adventhealth Ottawa Hospital, Ottawa, KS, CCN 170014

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mroberts661061@adventhealth.direct-ci.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Shawnee Mission Medical Center Inc

  • Family Medicine Physician
  • Merriam, KS
  • NPI 1992735690

  Internal Medicine

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Adventhealth Ransom Memorial, Inc.

  • General Acute Care Hospital
  • Ottawa, KS
  • NPI 1972063758
  Care Compare affiliation
• Adventhealth South Overland Park, Inc.

  • General Acute Care Hospital
  • Overland Park, KS
  • NPI 1316536253
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • General Acute Care Hospital
  • Merriam, KS
  • NPI 1023171634
  Care Compare affiliation
• Shawnee Mission Medical Center Inc

  • Clinical Medical Laboratory
  • Merriam, KS
  • NPI 1235792003

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1124089321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 204",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042553",
            "telephone_number": "913-632-9770",
            "fax_number": "913-632-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7450 KESSLER ST STE 204",
            "city": "SHAWNEE MISSION",
            "state": "KS",
            "postal_code": "662042553",
            "telephone_number": "913-632-9770",
            "fax_number": "913-632-9799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7840 W 165th St Ste 260",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662233020",
            "country_code": "US",
            "telephone_number": "913-632-9770",
            "fax_number": "913-632-9799",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "MONTGOMERY",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "OK",
            "license": "3987",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "3987",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "3987",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KS",
            "license": "37355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Dooley Ridgway, M.D.
• Jill Lynne Riffel, M.D.
• Tom Riggs, MPT, CSCS
• William S Ritter, M.D.
• Elli Roberts, PA-C
• Amanda Nicole Robinson, D.O.
• John Robinson, M.D.
• Jillian Roedel, PHARMD
• Andrea Rosewell, CRNA
• Michelle Marie Rossi

• Pulmonary Disease Physician in Shawnee Mission, KS
• Providers in Shawnee Mission, KS by specialty
• Pulmonary Disease Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.